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COVID-19 and intellectual disability/autism spectrum disorder with high and very high support needs: issues of physical and mental vulnerability
Elisabetta F. Buonaguro, Marco O. Bertelli Advances in Mental Health and Intellectual Disabilities, Vol. 15, No. 1, pp.8-19 The COVID-19 outbreak has profoundly plagued the world, and current health efforts are focused on providing prevention and ensuring access to intensive services for people with the most severe symptomatology. Many reports have already described substantial psychological distress in the general population. Nevertheless, disasters tend to affect vulnerable subjects disproportionately, and individuals with intellectual disabilities/autism spectrum disorder with high and very ...
Source: Advances in Mental Health and Intellectual Disabilities - December 31, 2020 Category: Disability Authors: Elisabetta F. Buonaguro Marco O. Bertelli Source Type: research

Challenging behaviour or untreated ADHD?
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose The purpose of this paper is to illustrate the possible basis of challenging behaviour (CB) can lie in a treatable neurodevelopmental disorder. Design/methodology/approach Two case studies were used to illustrate the clinical characteristics of attention deficit hyperactivity disorder (ADHD) presenting as CB in people with intellectual disability (ID). Findings The findings of this paper show that the appropriate use of drug therapy for ADHD effectively reduced the behavioural challenges. Research limitations/implications Limited by two ca...
Source: Advances in Mental Health and Intellectual Disabilities - June 27, 2019 Category: Disability Source Type: research

Comorbid mental health disorders in children and young people with intellectual disabilities and autism spectrum disorders
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Children and young people with comorbid intellectual disabilities (ID) and autism spectrum disorders (ASD) are more likely to exhibit comorbid mental health disorders (MHD) and other significant behaviours (SB) in addition to the core symptoms of ASD. The purpose of this paper is to identify the prevalence of comorbid MHD and behaviours in children and young people with ID and ASD in Egypt. Design/methodology/approach The Reiss scale for children ’s dual diagnosis was administered by parents and teachers of 222 Egyptian children and young ...
Source: Advances in Mental Health and Intellectual Disabilities - June 26, 2019 Category: Disability Source Type: research

Reducing antipsychotic medication in ID using QI methodology
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Research highlights that antipsychotic medications are prescribed more in people with Intellectual Disability (ID) without a diagnosis of severe mental illness. Despite non-pharmacological interventions recommended as alternatives, their application can be challenging due to heterogeneity of the patient group. The purpose of this paper is to discuss application of quality improvement (QI) methodology in adapting interventions, aiming to reduce challenging behaviour of people with ID, thereby reducing use of antipsychotic medication. Design/m...
Source: Advances in Mental Health and Intellectual Disabilities - June 26, 2019 Category: Disability Source Type: research

Catatonia in individuals with Autism Spectrum Disorder and intellectual disability: a discussion of four cases
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Catatonia is increasingly recognised as a comorbid syndrome of Autism Spectrum Disorder (ASDs). The assessment and management of individuals with comorbid ASD and intellectual disability (ID) adds a further dimension to this already complex presentation, with few cases identified in the literature. The paper aims to discuss these issues. Design/methodology/approach This paper presents four cases of catatonia in individuals with comorbid ASD and ID. The diagnostic challenges, response to treatment and prognosis are discussed whilst comparing ...
Source: Advances in Mental Health and Intellectual Disabilities - June 26, 2019 Category: Disability Source Type: research

Psychiatric assessment in congenital blindness, ASD and ID: experience from two clinical cases
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Psychiatric assessment in adults with autism spectrum disorder (ASD) and intellectual disability (ID) is complex and challenging. With co-occurring congenital blindness, this complexity is increased. Systematic knowledge about psychiatric assessment in this combination of challenges is virtually non-existing, and there is little guidance available for clinicians faced with this task. The paper aims to discuss these issues. Design/methodology/approach Experiences from comprehensive psychiatric assessments in two adults with congenital blindne...
Source: Advances in Mental Health and Intellectual Disabilities - June 24, 2019 Category: Disability Source Type: research

Using positive behavioural support (PBS) for STOMP medication challenge
This study indicates that providing PBS is associated with decreased medication and if replicated should be become standard practice for specialist teams. Originality/value This is the first study to investigate the effect of PBS on medication reduction in patients prescribed psychotropic medication for behaviour thought to be challenging. (Source: Advances in Mental Health and Intellectual Disabilities)
Source: Advances in Mental Health and Intellectual Disabilities - June 2, 2019 Category: Disability Source Type: research

A systematic review of fidelity measurements in complex interventions for people with intellectual disabilities and behaviours that challenge
Advances in Mental Health and Intellectual Disabilities, Ahead of Print. Purpose Fidelity data in clinical trials are not only necessary for appraising the internal and external validity, but also could provide useful insights how to improve the application of an intervention in everyday settings. The purpose of this paper is to understand the current literature of fidelity measurements in complex interventions for people with intellectual disabilities (ID) and behaviours that challenge. Design/methodology/approach The electronic databases MEDLINE, Embase, PsycINFO, Web of Science and CINAHL Plus were searched for studie...
Source: Advances in Mental Health and Intellectual Disabilities - June 2, 2019 Category: Disability Source Type: research